DDRS Waiver Manual

If an individual declines the offer for a FSW slot, his or her name is removed from a single statewide
waiting list.
If an individual accepts the offer for a FSW slot:
An intake meeting with a service coordinator from the local BDDS District Office is scheduled for
the BDDS to complete the following:
o Collateral information, provided by the individual, is reviewed and level of care must
again be established
o The LOC assessment tool is completed
The individual or any legal guardian must obtain confirmation of their diagnosis on a 450B form
signed by their physician within 21 calendar days from date of letter
The individual or any legal guardian has 60 calendar days to apply for and obtain Medicaid if the
individual does not yet have Medicaid coverage
If the individual already has Medicaid coverage, but the Aid Category to which the individual’s
Medicaid eligibility has been assigned is not compatible with waiver program requirements, he
or she has 30 calendar days from the date on the contact letter from DDRS/BDDS to request
that the FSSA/DFR process the needed change in Medicaid aid category
The individual or any legal guardian must cooperate fully with requests related to the application
for Medicaid eligibility and any needed change in Medicaid aid category
After all assessments have been made, applicants under the age of 18 and their legal guardians are given
a pick list by the DDRS/BDDS containing providers of Case Management services that are approved by
DDRS to provide service in the applicant’s county of residency.
Due to the disregard of parental income for minors receiving waiver services, proof of an approved Plan
of Care/Cost Comparison Budget (POC/CCB) may be required before some minors can obtain Medicaid
eligibility. For that reason, the BDDS service coordinator creates an Initial POC/CCB, although selection of
a Case Manager is still required. The Case Manager is cited on the Initial POC/CCB if the selection has
been finalized, but may also be added at a later date if necessary.
For adults, generation of the Case Management agency pick list by DDRS/BDDS and selection of a Case
Management agency will not occur until after all eligibility criteria are met, including establishment of
Medicaid eligibility in a waiver-compatible aid category. Thereafter, the applicant or guardian (if
applicable) completes the service planning process, chooses a service provider(s), and the Case Manager
submits a POC/CCB for waiver service.
After the pick list is provided by BDDS, the individual (consumer) and/or legal guardian has:
Five calendar days to interview and choose a permanent Case Manager
Fourteen calendar days to interview and choose, at minimum, one provider
From the date a provider is chosen, the individual (consumer) and/or legal guardian has:
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